If one is not good, two is worse: synchronic common bile duct adenocarcinoma and large cell neuroendocrine tumor

Abstract

Introduction: The difficulty to set a histopathological diagnosis in patients with cholangiocarcinoma is a challenge Methods: We present 7 cases of cholangiocarcinoma for witch was performed an excisional biopsy of ganglion 5. For this patients the histopathological diagnosis was not able to be performed neither by endoscopic of ecoendoscopic maneuver. 5 cases were made by laparoscopic approach and 2 by open procedure. Results: All the results from the biopsies were inconclusive and indicated inflammation Conclusions: Although the mini series was not on a large number of cases, the examination of ganglion 5 was not edifying in establishing the histopathological results in patients with cholangiocarcinoma and present metastasis.